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Home My WebLink AboutPermit Building 2009-3-9 -. ~~~I~G~I/,l;"Di'i. . '~...'.' "l~ '\ " - " ~"...."'."'..""i' - , . : .... / .. Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01818 ISSUED: 03/09/2009 APPLIED: 12/31/2008 EXPIRES: 09/09/2009 VALUE: $ 198,286.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 1215 S 40TH PL ASSESSOR'S PARCEL NO.: 1802064113900 TYPE OF USE: New PROJECT DESCRIPTION: Single family residence SAME AS COM2008-0]446 1232 S 41st Stl Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 I GONTRAmeR-.IllHimRM6'1lfON r" . - , , " '1% adoptea oy me VI";)'" - Contractor. . "(l!l Center. Those ru,lceiise Expiration Date BRUCE WIECHERT CUSTOMJAtlMlE~ iiN'eurrU]Gf7" \i. ...' 09/]6/2010 L & E ELECTRIC INC.' ,'c..,lI may obtain COPi7m5';ji~e !':: 1 03/30/20]0 COMFORT FLOW I ,I' .:, 1,I1e center. (Note~ Oe Isler.,'.: " 06/27/2009 ,,' 1':' ,. ,'lr the Oregon Uti] LV I'iotme",,,,,,) STEVE RJOHNSON'~ dw,t':..:M ,_ 1_R(\(\_,,<.~~9~.~4\. 03/1212010 BUILDING INFORMATION I Contractor Type General Electriclll Mcchllnical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constmction Type Secondary Construction Type: # of Bedrooms: Frontyllrd Setback: Side I Setbllck: Side 2 Setbllck: Rellryard Setbllck: Solar Setbacks: Street Improvements: 'Storm Sewer Available: Special Instruction: ]8.00 10.00 ]0.00 16.00 0.00 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 # of Stories: Lot Siie: Height of Structurc'- 17.00 Sq Ft 1st Floor:. Type of Heat: ' Forced Ail' Gas Sq Ft 2nd Floor: Wllter Type: GllS Sq Ft Bllsement: Range Type: Gas Sq Ft Garllge/Carport 3 NOTICanergy Pllth: Sq Ft Other: Y.Us PER!ll1ipJg~I'W.lilE!Jtru:RE IF THIiiMJORK Occupllnt Load: -- ---.~ _f_;"T '" 'J"T .,..,..u',,,," """'''''0 '.ll~\ll ~!!-:('-: {.... r_. ,1"DE:v.ELQFMEi'(r.,INJ\'ORMAm~R 1.,.;...........-..--- - ANY 180 DAY PERIOD. OverlllY Dist: # Street Trees Rqd: 'Pllved Drive Rqd: % of Lot Covenge: I R-3 U VB 1,685 462 4 Yes 35.70 REQUIRED PARKING Total: 2 Hllndicapped: Compact: I PUBLIC IMPROVEMENTS I FullV Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 7' Cnrb and Gutter Notes: Storm to curb and gutter via weep hole ry~~ Pllge I of 4 _~,I?"~';N.".Q....F'.,.I.El,".L-D... .i....' '. .1..,. Il=, . . ~i'r 11:' K:.~' Ii WW:. .' . , ' , , "" r"~ " ,.;"r ~ "~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellin2s Garae:e AC - Residential V Wood Frame Gara2e Fee Description -Mech Iss 2+ Appliances- + 100/0 Administrative Fee + ]2% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance Venl Boiler/Comp Up To ]00,000 btu Building Permit Cnrbcut Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Fnrnace - up to ]00,000 btu Gas Outlets 1-4 Gas Outlets 4+ Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit :. Residence Wiring ]000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMClmprovement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbufsement SDC Transportation Admin Sidewalk Permit Storm Sewer Each Addtl ]00' Vent Fan I Valuation Descrintion I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount ] ,685.~0 1,685.00 462.00 Total Value of Project ~ Amount Paid $42.00 $171.82 $193.30 $98.39 $289.00 $37.00 . $8.00 $15.00 $],009.83 $88.00 $8.00 $11.00 $107.35 $]8.00 $]5.00 $6.00 $3.00 $211.00 $227.00 $-30.00 . $]21.00 $66.00 $483.84 $636.30 $10.00 $],009.17 $97.90 $84.31 $888.98 $201.54 $82.08 $88.00 $]7.00 $24.00 Date Paid 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09. 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9109 3/9/09 3/9/09. 3/9/09 3/9/09 3/9109 3/9/09 3/9109 3/9/09 3/9/09 3/9/09 3/9109 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9109 3/9109 Pa2e 2 of 4 CITY OF ~nuj'\jvI'IELD Building/Combination Permit PERMIT NO: COM2008-0I818 ISSUED: 03/09/2009 APPLIED: 12/3112008 EXPIRES: 09/09/2009 VALUE: $ 198,286.00 Value Date Calculated $8,425.00 $176,925.00 $12,936.00 $] 98,286.00 1213112008 12/3112008 1213112008 Receipt Number 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 . 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 2200900000000000238 _SP-cA.fN GF:.fllLD. ji.... ..1.... Wit, r .:~ .. ..f>~?"t .,.1 .... ... ......'( Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01818 ISSUED: 03/09/2009 APPLIED: 12/31/2008 EXPIRES: 09/09/2009 VALUE: $ 198,286.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family $2,513.00 3/9/09 2200900000000000238 Total Amount Paid $8,851.8] Plan Reviews I. Plannine Review 12/3112008 ] 213] /2008 APP DDK Required street trees as shown on street tree plan attached to permit: Species. as shown. 2" caliper, leave name tag on nntil approved. Driveway approach issue and variance appeal. Same as plan review. Public Works Review 12/3112008 12/3112008 WE LKW Structural Review 1213112008 ] 2/3112008 APP DLM Public Works Review 03/0912009 03/09/2009 APP LKW Approved driveway as described in variance appeal To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. . ~Rpnllirprllnsnections...l Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After fnrms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Naili~g: Before covering sheathing with linish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. t Ceiling Insulation: Prior to cnver. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of cnncrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Under-floor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Paee 3 of 4 ~~~RJNOF,IEt~_~/ "1I1111,iillt~!j." I; :i CITY OF SPRINGFIELD r " I' 'I j; Building/Combination Permit Status Issued PERMIT NO: COM2008-01818 ISSUED: 03/0912009 APPLIED: 12/31/2008 EXPIRES: 09/0912009 VALUE: $ 198,286,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. presure test done at this point. Rough Mechanical: ~rior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rnugh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. ,Final Electric: When all electrical work is cnmplete. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the ::::::":;~7}'?"' om, 'm'."',... ... ."'~) ;~;; ~m.;. "" .., ,;....... Owner or Contractors Signature Date Page 4 of 4 , "~" VJ1.l!];';"". -"" -~""~""''''''~~ "<:1"""'.... 'd'>"~.~ -. _ ' ,,'0 ,-.. $,''''' ,,~. . -~:~<;;}~<t;,Q:;iK o<,.t'~~:R~C!I1~~P; J!RFLQQ~':t.~~~~~ ZON \ I\.IL lNITIALS~ lM DATE ~"\().ei. . SOURCE .l-1-. "vir--- 225 FIFl1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])726-3689 ELECTRICAL PERMIT APPLICATION City Job'Number r./i}H? dJJI, .J{'J J t2> /~ 1. IlrEOeAifjoN!oEmsTAi\jT;J;tTioN!'fll~~j'li!l!!ilil. ~-'*.""'~"-,.=~.~ -"-"'''''''','"'''-'l''''''"''~'-'"'''i;"".",,,.-,,,-,~~-,.,,,._..,,.,...,.,,....,,,-,,,__ ",,,,S~i(Wl\hilk~ /2-I$' s~ 4/J 7!J pL, LEGAL DESCRIP'fION: / &ooz b(p 4/ / '3' &0 JOB DESCRIPTION: ~JN~. ~~ I c;~e , ' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is . . Suspended for 180 days. ~~'co1lfR!lifJ(iiJiNlT.~fiQN10NJ;~1.1 2. ~~":>i--."o"''''''''''''''-''~-''''k"-''h-''''''",'JFF'>'-~r' p- ""'=,.'#m.,;,.r.lij;;~"..,.~i.C_~'_~""" Electrical Contractor . L E- E f;:. \..Q d-n ( _ , _. Address q d833 _\oN'~ A.U(') \<d, City ~(d . Pbone q3~ - J S-q56 4(14- S' (O/Ol/tO ,OSYi'5 3/3[ (04 . I Signature of Supervising Electrician &J~ Supervisor License Number Expiration Date ConslT. ConlT. Number Expiration Date Owners Name /}.,.(tlC~ JV 1tX,#Q(T Address ~..., 7 ~/CUJ . City rp48t~ Pbone...&" w '~t. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent.. Owners Signature: . "- Inspection Request: 726-3769 Date ~1fe"^-~o"'-"'--"~.'-'>>-':"'^,"'-~-^<;'~'-'~=':? --"-,.~~,...,.,,.....'C''''''''''''''''--'''':e~'-.'-'-'?;:.''-~''.1'(-;;YV;;;?ff:iidqit;h',","t"""'1"'_~:," t:;':tr~; 4 3. ," MPhETE-EEE,SCHEDl:lLINJEWWt/j'i"'i ;,~"..ft"f"t ~ .' ""_~_"''''''''_;''"~'',"'''.''.''___'''''~'"~''''''':'''_''''',...,..."~~";'_'-''-;" ....,.... .,/,,,,...,,.......,,,.__:',..,,....Yi0Jti$t~!fffi_P!1;~ji!l\ili',~,. 0)"",',,: A. f~~~B~~l~~~i!1,~~gi~@tffii~im~~i!fUy;i{~!~',~~m~:_ij~iit'!~~{,;~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder' L-/ $121.00 /2/ $ 22.00 &to ~. $57.00 B. 1~..smi1~li5tF:~d:~.i~t~1.i1i'~l:ilrii~~j\lt~~1il)~~.~:~;;.~ci...~--~l~t~~:tifi~i~~i~~ ~,"'H;~"'.'=""n"~''''~~:-.;wu;~'"'''''.;.J'M''.'T--.;;;_-..;<1q''',,!''~'''''*''':i'_:,,.:"""~-0'"f..;."*.-';_,,,.. ..~.,F"'.:.~.....,,,"'-'l~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps. Over 1000 Amps/V 0115 Reconnect Only $ 73.00 $ 86.00 $143.00 . $186.00 $426.00 $ 57.00 c. $ 57.00 $ 79.00 $114.00 New Alteration or Extensiou Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 E. ~~i~~ltitg~~1~1-!1~ltt~~t1\~{f~~~~1~~r~~!~iilll!~n~!(~pJ PUmp or irrigati~n J $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4, mi~?:qz..gtQi'.'11Q~l!il~iB~1ii1!. ' ULI. ~V . 12% State Surcharge ' "2. j.4--f 10% Administrative Fee /9,")/ 7 {J 5% Technology Fee q. .6 S- TOTAL 2-3 7 fc; Shared Drive(T:}lBuilding FormslElectrical Permit App]ication 7-oS.doc o !~I!!!!!~l~~e Job. No.~~~- t) I~/~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: l3A.J1ce M/!7:..~r PHONE: ~. "}~ ADDRESS:~07J5"rJ'/av CITY EV~ STATE~ZIP: 97~~ LOCATlqN OF PROPOSED BUILDING SITE: Street Address: . /2-/5" S. 4.rJ 7lJp/. Plat N'!me: ,FI ~ m~,.",uK Tax LotNumber: JIP.CJ~ 01:. 4/ J.1j'l ~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS / X $2,513 per unit = $ 2-5'/3 B. Sinale-Familv Attached " : NO. OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS 'x $2,323 per unit = . $ D. Sinale Room Occuoanr.v . NO.OFUNITS X $1 ,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1 ,257 per unit = $ WILLAMALANE SDC $ j 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3~ TOTALWILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 2-S I.") 2:> I (\ I QCD0 ~ ~\'IT\LQ / Development Services bepartment CitY of Springfield . Date 5 ~: ,i:'~r CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2008-01818 NAME OR COMPANY: Bruce Wiechert LOCATION: 1215 S. 40th Place TAX LOT NUMBER: 1802064113900 . DEVELOPMENT TYPE: Single Family Rcsidcnce NEW DWELLING UNITS I BUILDING SIZE (SF' 2147 LOT SIZE (SF): 1 STORM DRAINAGE o r/) W CI o U 0:: w I-< r/) G gj DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER SF 1..1 CHARGE 1 0.00 I $0.357 I = ,$0.00 I RUNOFF ROUTED TO DR YWELL DESIGNED AND CONSTRUCTED TO CITY ST ANDARos 1 IMPERVIOUS S.F. I x 1 COST PER S.F. I x I DISCOUNT RATE I 1 I 0.00 I 1 $0.357 150% ~ 1 ITEM] TOTAL - STORM DRAINAGE SDC I $0.00 , 2. SANITARY SEWER - r.ITY DISCOUNT $0.00 $0.00 1070 A REIMBURSEMENT COST: I NUMBER OF DFU's I x 23 I B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x I 23 . I COST PER DFU '1 $27.67 I $636.30 I 11091 I 1 1092 I COST PER DFU $21.04 . ~ , $483.84 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,120.]4 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP I x INEW TRIP FACTORI I 9.57 I I I 1 1 21.06 I 1.00 $201.54 . 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I. x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI I 9.57 I I I I I $92.89 1 1.00 $888.98 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~ , $],090.52 I - --"._- m , 4. SANITARY SEWER - MWMC I I I A REIMBURSEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU . I I I I $97.90 = $97.90 11054 B. IMPROVEMENT COST: INUMBER ~F FEU's 1 x 1 COST PER FEU I I $1,009.17 = $1,009.17 1055 MWMC CREDIT IF APPLlCABLE.(SEE REVERSE) $0.00 1054 . MWMC ADMINISTRATIVE FEE $10.00 1 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , $],117.07 ]1 SUBTOTAL (ADD ITEMS], 2, 3, & 4) ~ , $3,327.73 -I 5. ADMINISTRATIVE FEE: 1 SUBTOTAL x I ADM. FEE RATE I~ I $3.327.73 . I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $166.39 84.31 $82.08 ]079 lim Kaye Wilson ] 2/31/2008 TOTAL SDC CHARGES = I $3,494.12 PREPARED BY DATE / . , ( , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUN ALENT';' DRAINAGE FIXTURE UNITS II (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX1URES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE lOLL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETG. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAlLER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0 fRECEPTOR FOR COM. SINK I DISHWASHER I ETG. 1 0 3 = 3 SHOWER SINGLE STALL 1 0 2 = 2 ISHOWER GANG (NUMBER OF HEADS) 0 0' 2 = 0 ISINK: COMMERCiAIJRESIDENTIAL KITCHEN 1 0 3 = 3. I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 I IURlNAL. STALL I WALL 0 0 5 = 0 I TOILET. PUBLIC INSTALLATION 0 0 .6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 'I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (~uiva]ent Dwellinl:!: Unit) is a discharge equivalent to a single ~ilv dwelling unit (20 DFU's) set at 167 R3.~ns per day ~EAR I ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 i I I I I I I I I II I I I I i MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RATE/$I:OoOI.1 ASSESSED V AL~._.J :29' IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 "1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 II 2 2006 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $0.00 ~ I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE . $0.00 x $0.00 ~ , o TOTALMWMCCREDlT = $0.00 .. ,"j"'l CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR' COMPANY: LOCATION: TAX LOT NUMBER: , DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE ,DIRECT RUNOFF TO CITY'STORM'SYSTEM ' I IMPERVIOUS S.F. x I COST PER S.F. I __ I CHARGE 1 3491.50 $0.357 $1.245.58 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.357 I I 50% .~ I ITEM] TOTAL - STORM DRAINAGE SDC $],245.58 I Com2008-0 1818 Bruce Wiechert 1215 S. 40th Place 1802064113900 Single Family Residence I BUILDING SIZE (SF' 2147 LOT SIZE (SF): DISCOUNT I $0.00 ' o $],245.58 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OFDFU's I x I 23 I . B. IMPROVEMENT COST: I NUMBER OF DFU's I ,x< I' I 23 I COST PER DFU $27.67 COST PER DFU $21.04 ITEM 2 TOTAL-CITY SANITARY SEWER SDC ~ , 1. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRlP RATE I x I 9.57 I I NUMBER OF UNITS I x I I I I I B. IMPROVEMENT COST: I ADTTRJP RATE I x 1 9.57 I I NUMBER OF UNITS I x 1 I I I I ITEM 3 TOTAL - TRANSPORT A nON SDC 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU $97.90 B. IMPROVEMENT COST: '[NUMBER 01 F FEU's I x ICOST PER FEU r I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x I' ADM. FEE RATE I~ I $4.573.31 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,120.]4 COST PER TRIP 21.06 = , COST PER TRJP $92.89 $1,090.52 156.52 !1079 $72. I 5 11078 =/ $4,801.98 I _I x INEW TRIP FACTORI I 1.00 ~ I x INEW TRIP FACTORI I 1.00 I ~ I 12/3112008 ., Kaye Wilson PREPARED BY DATE $1,117.07 ~, $4,573.3 ] CHARGE $228.67 TOTAL SDC CHARGES ~, $636.30 = , $483.84 $201.54 . $888.98 $97.90 = $],009:17 so.oo $10.00 '. -I '" 8 u I~ I~ '" a ~ i 1070 I 1091 1092 I I I' , 1093 1094 1054 1055 1054 1056 '" . ,ii' (, DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIlRE UNITS (NOTE: FOR REMODELS, CALCULATE aNL Y THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAiNAGE UNIT FIXTURE FIXTURE TYPE . NEW OLD EQUNALENT UNITS rBATH1lJB 1 0 3 = 3 IDRlNKlNG FOUNTAIN 0 0 1 = 0 [FLOOR DRAIN 0 0' 3 = 0 [INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 [INTERCEPTORS FOR SAND / AUTO WASH.! ETe. O. O. 6 = 0 !LAUNDRY TUB 0 0 2 = 0 [CLOTI-lESW ASHER / MOP SiNK 1 0 3 = 3 [CLOTI-lESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 [MOB]LE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = '0 I RECEPTOR FOR COM. S]NK / DISHWASHER / ETe. [ 1 0 3 = 3 ISHOWER SINGLE STALL 1 0 2 = 2 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCi.\L/RESIDENTIAL KiTCHEN 1 0 3 = 3 ISINK:COMMERClAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V ATORY 1 0 2 = 2 I SINK: SINGLELA V A TORY /RESIDENTlAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 [TOILET, PUBLIC INSTALLATION 0 0 6 = 0 [ \TOILET,PRlVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is II discharge equivalent to a sin~1e family dwelling unit (20 OFD's) set at 167 gallons per day JI . MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE BEFORE 1979 1979 1980 1981 1982 1983 1984. ]985 I YEAR ANNEXED r- I [ I II I [ I .I CREDIT RATE/$I,OOO ASSESSED VALUE ~: g: 19&6 1987 1988 ]989 ]990 1991 1992 1993 1994 t995 1996 1997 1998 . 1999 2000 2001 I I I, I . ]S LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) IS ]MPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I forYes,2forNo) BASE YEAR. 2 2 2006 CREDIT FOR LAND (IF APPLICABLE) . VALUE/1000 CREDIT RATE $0.00 x $0.00 ~ I $0.00 CREDIT FOR IMPROVEMENT (]F AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $0.00 ~ , o I I l' I TOTAL MWMC CREDIT :::: I. $0.00 City of Springfield Official Receipt Development Services Department Pnbl,ic Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone' i Job/Journal Number COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-01 SIS COM2008-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S~0 ISIS COM200S-0 ISIS COM200S-0 ISIS . COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0 ISIS COM200S-0lSIS COM200S-0ISIS COM200S-01S1S COM200S-0 ISIS Payments: Type of Payment CreditCard cRccci.ntl RECEIPT #: 2200900000000000238 , Date: 03/09/2009 1O:48:03AM Description -Mech Iss 2+ Appliances- Residence W iring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Curbcut Permit Sidewalk Pemlit PW Disc - 2nd Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/S)orm Admin SDC Transportation Admin 2 Baths One or Two Family + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Plan Review Same As Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (Listed) Ainount Due 42.00 121.00 66.00 107.35 SS.OO SS.OO (30,00) 636.30. 4S3,S4 201.54 SSS,98 97,90 1,009.17 10,00 S4,31 S2.0S 2S9.00 9S.39. 193.30 I7I.S2 227.00 211.00 1,009.S3 37,00 2,513,00 17,00 15,00 15,00 24,00. S,OO 11.00 S.OO 6.00 3,00 IS.OO $8,851.8] Paid By BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc 04573d In Person Payment Total: $S,S51.8 I $8,851.81 Page I of I . 3/9/2009